Apply Now

  1. Home /Members
  2. Register

CLIENT APPLICATION FORM

× As a new member, you must pay a membership fee of UGX 5000 for your account to be activated.

Your Personal Information

Enter your personal information to create a new account

First Name
Last Name
Other Name
Physical Address
Mobile Number
Other Mobile Number
Date of Birth
Place of Birth
E-mail Address
NIN Number
Occupation

Next of Kin

Fill in your next of kin details

First Name
Last Name
Other Name
Address
Mobile Number
Other TelephoneNumber
Email
Occupation

Other Documents

Upload your personal documents

PassPort Sized
Scanned Signature
Photocopy of National ID or Passport
Account Signatories

Congratulations!

Thanks Mr./Mrs. your information have been submitted successfully for the future reference we will contact you soon.